<script type="text/html" id="module-name">form/signupSuccess</script>
<div class="row">
	<div class="col-lg-8 col-md-12 col-lg-offset-2">
		<div class="panel panel-info">
			<div class="panel-heading">
				<h1>Successfully signup.</h1>
				<label>Please fill few assential required info.</label>
			</div>
			<div class="panel-body">
				<form role="form" class="form-horizontal js_signupsuccess"
					action="/user/signupApartment" method="POST">

					<div class="form-group">
						<label for="inputEmail3" class="col-sm-2 control-label">Apartment</label>
						<div class="col-sm-10">
							<select name="apartment" class="form-control" id="apartment">
								<option value="1">Aditya Mega City</option>
							</select>
						</div>
					</div>

					<div class="form-group">
						<label for="inputEmail3" class="col-sm-2 control-label">Block</label>
						<div class="col-sm-10">
							<select name="block" class="form-control" id="block">
								<option value="2">GC</option>
								<option value="3">A</option>
								<option value="4">B</option>
								<option value="5">C</option>
								<option value="6">D</option>
							</select>
						</div>
					</div>

					<div class="alert alert-danger" role="alert" id="blockError"
						style="display: none">Please enter your block.</div>

					<div class="form-group">
						<label for="inputEmail3" class="col-sm-2 control-label">Flat
							Number</label>
						<div class="col-sm-10">
							<input type="text" placeholder="Flat Number" value=""
								name="flatNo" class="form-control js_flat" id="flatNo">
						</div>
					</div>

					<div class="alert alert-danger js_flaterror" role="alert" id="flatNoError"
						style="display: none">Please enter your flat number.</div>


					<div class="form-group">
						<label for="inputEmail3" class="col-sm-2 control-label">Phone
							Number</label>
						<div class="col-sm-10">
							<input type="text" placeholder="Phone Number" value=""
								name="phoneNo" class="form-control js_phone" id="phoneNo">
						</div>
					</div>

					<div class="alert alert-danger js_phoneerror" role="alert" id="phoneNoError"
						style="display: none">Please enter your phone number.</div>

					<div class="form-group" style="margin-top: 10px">
						<!-- Button -->

						<div class="col-sm-12 controls">
							<a class="btn btn-success js_submit" href="#" id="btn-login">Submit </a>
						</div>
					</div>
				</form>

			</div>

		</div>
	</div>
</div>
<?php
    $env = getenv('APP_ENV') ?: 'production';
    if($env != 'production') {
        echo '<script data-main="/js/app" src="/js/lib/require.js"></script>';
    }
?>


